Duplicate Vehicle Title – MASERVIGESTION CORPORATION

Duplicate Vehicle Title Form

Please complete the following information.

First Name

Last Name

Email Address

Contact Phone

Legal Business Name

EIN / FEIN

Vehicle Information

Vehicle VIN #	Vehicle ID #	Maximum Vehicle GVWR (Gross Vehicle Weight Rating in lbs)

Please Upload Current Vehicle Registration

Choose File

Vehicle Owner

Select Delivery Method

Authorized Person Name

Authorized Person Title

Owner

Member

Manager

President

Authorization Consent

I certify that the information provided is accurate and I authorize MASERVIGESTION CORPORATION to prepare and submit filings on my behalf with IRS, state agencies, and other authorities as required.

First Name

Last Name